An insurance company that accepts a reinsurance.
Insurance Encyclopedia
Access
Refers to an individual’s ability to obtain needed medical care, such as facility location, transportation, operating hours, cost of care, availability of medical services, and patient acceptability of services.
Access fee
Amount paid by a health insurer to a network Per Member Per Month (PMPM) to use the network’s providers.
Access to Justice Act 1999
The law governing conditional fee agreements and after-the-event legal insurance (AEI) has been revised. The court can order a losing party to pay any increase in both the successful party’s normal lawyer fee and the successful party’s premium for insurance against being ordered to pay the other side’s costs. When instructed, solicitors must inform their clients of the availability of alternative funding, such as AEI.
Access to Medical Records Act 1988
Allows the proposer of a life insurance policy to inspect medical records. The insurer must obtain the proposer’s written consent before contacting his doctor for a report, but the proposer has the right to inspect the report before it is submitted to the insurer. If the proposer believes the report is misleading, he may request changes. If the doctor refuses, the proposer has two options: withdraw permission and risk losing the insurance offer, or add comments to the report.
Access to Records Clause
A provision in a reinsurance agreement that allows the Reinsurer access to the Ceding Company’s books, records, and other reinsurance-related documents and information. This includes related accounting, underwriting, and claims information for the purpose of obtaining information about the reinsurance agreement or its subject matter from the Reinsurer.
Accessibility of services
The ability to obtain medical care and services when a patient requires them.
Accession
The process by which property belonging to one person becomes the property of another by being added to or incorporated with the latter’s property.
Accessory Dwelling Unit (ADU)
Separate living quarters within a single-family home. The ADU is a complete living unit with its own kitchen and bathroom.
Accident
An unplanned occurrence beyond the insured’s control that occurs suddenly and by pure chance, resulting in injury traceable to a specific time and place.
An accident may be viewed as the result of a failure to identify a hazard or a flaw in an existing system of hazard controls.
There must be some element of fortuity (chance).